Individual
MAGGIE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3134 SUTTON BLVD, MAPLEWOOD, MO 63143-3910
(314) 246-0560
(888) 717-4730
Mailing address
3134 SUTTON BLVD, MAPLEWOOD, MO 63143-3910
(314) 246-0560
(888) 717-4730
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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